Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,218.75 / $1,332.50	Professional		$975.00	$1,218.75	$1,332.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,462.50 / $1,667.25	Professional		$1,300.00	$1,462.50	$1,667.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.25 / $1,068.05 / $2,102.85	Facility		$861.25	$1,068.05	$2,102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.25 / $1,155.30 / $3,994.25	Professional		$861.25	$1,155.30	$3,994.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,950.00 / $2,437.50	Professional		$1,625.00	$1,950.00	$2,437.50
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $812.50 / $1,462.50	Professional		$682.50	$812.50	$1,462.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $633.75 / $650.00 / $812.50	Professional		$633.75	$650.00	$812.50